题名

高毒性克雷伯氏肺炎桿菌介紹

DOI

10.6666/ClinMed.2017.80.1.074

作者

阮志翰；林邑璁

关键词

高毒性(hypervirulent) ； 克雷伯氏肺炎桿菌(Klebsiella pneumoniae) ； 肝膿瘍(liver abscess)

期刊名称

臨床醫學月刊

卷期/出版年月

80卷1期（2017 / 07 / 28）

页次

394 - 398

内容语文

繁體中文
中文摘要

從1980年代以來，在亞洲發現一種新的「高毒性」克雷伯氏肺炎桿菌，和過去「典型」克雷伯氏肺炎桿菌有很大差別。高毒性克雷伯氏肺炎桿菌會對一般活動力健康宿主造成肝膿瘍及其他轉移性感染；其莢膜型可能是K1或是K2；培養皿上呈現高黏稠性，黏絲試驗陽性。目前對高毒性克雷伯氏肺炎桿菌瞭解甚少，其診斷常被低估，臨床上可以造成肝膿瘍、脾膿瘍、肺炎、眼內炎及中樞神經感染等，其罹病率和死亡率卻不低。治療克雷伯氏肺炎桿菌造成的膿瘍，適當的引流是必須的。另外，最大的挑戰來自抗藥性及其他許多未知之處，未來將需要發展更客觀的診斷工具，找出最適當的診斷標準並提供最適合的治療。
主题分类 醫藥衛生 > 基礎醫學
醫藥衛生 > 社會醫學
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